Palliative Care and Pain Medicine

Palliative Care and Pain Medicine | Internal Medicine

How it begins

Abordaje integral del paciente con enfermedad avanzada e incurable: fundamentos filosóficos, neurobiología del dolor, farmacología opioidea, control de síntomas refractarios, comunicación pronóstica y acompañamiento en la etapa final de la vida.

What it covers

1. Palliative Care and Pain Medicine
2. Philosophy, Definitions and Conceptual Framework
3. · 1.1 · History and evolution of palliative care
4. · 1.2 · Fundamental principles of palliative care
5. · 1.3 · Integrated palliative care model
6. · 1.4 · Differentiated essential terminology
7. Ethical and Legal Framework
8. · 2.1 · Bioethical principles in palliative care
9. · 2.2 · The principle of double effect
10. · 2.3 · Decision-making and representation capacity
11. · 2.4 · Access to opioids: a global health justice crisis
12. Communication, Forecast and Bad News
13. · 3.1 · Communication skills in the palliative context
14. · 3.2 · Prognosis estimation: clinical tools
15. Pain Physiopathology
16. · 4.1 · Classification of pain by mechanism
17. · 4.2 · Neurobiology of nociception: from the periphery to the cortex
18. · 4.3 · Mechanisms of cancer pain
19. Systematic Pain Assessment
20. · 5.1 · Pain evaluation scales
21. · 5.2 · Comprehensive evaluation: mnemonic ALICIA (or PQRST)
22. WHO Analgesic Ladder
23. · 6.1 · Step 1: Non-opioid analgesics
24. Opioids: Clinical Pharmacology
25. · 7.1 · Weak opioids (step 2)
26. · 7.2 · Strong opioids (step 3): clinical comparison
27. · 7.3 · Opioid conversion: equivalences and rotation
28. · 7.4 · Management of adverse effects of opioids
29. Adjuvant Analgesia
30. · 8.1 · Gabapentinoids
31. · 8.2 · Antidepressants
32. · 8.3 Corticosteroids
33. · 8.4 · Other relevant adjuvants
34. Breakthrough Pain and Refractory Pain
35. · 9.1 · Types of breakthrough pain
36. · 9.2 · Pharmacological management of DIO
37. Symptom Control: Respiratory
38. · 10.1 · Dyspnea
39. · 10.2 · Death rattles
40. · 10.3 · Massive hemoptysis
41. Symptom Control: Digestive
42. · 11.1 · Nausea and vomiting
43. · 11.2 · Malignant intestinal obstruction (MIO)
44. · 11.3 · Anorexia-cachexia
45. · 11.4 · Other digestive symptoms
46. Neuropsychiatric Symptoms
47. · 12.1 · Delirium in palliative care
48. · 12.2 · Depression and anxiety in the palliative patient
49. · 12.3 · Insomnia and fatigue in CP
50. Care in the Last Days of Life
51. · 13.1 · The path of the last hours (VUH)
52. · 13.2 · Palliative sedation: indications and protocol
53. · 13.3 · Communication with the family in the last hours
54. Palliation in Non-Oncological Diseases
55. · 14.1 · Advanced heart failure (CHF-A)
56. · 14.2 · Advanced COPD and chronic respiratory failure
57. · 14.3 · Stage 5 chronic kidney disease not on dialysis (ERCD)
58. · 14.4 · Advanced dementia
59. · 14.5 · ALS and progressive neuromuscular diseases
60. Palliative Care in Special Populations
61. · 15.1 · Pediatric palliative care (PPC)
62. · 15.2 · CP in cancer patients with HIV
63. · 15.3 · PC in vulnerable populations and low-resource contexts
64. PC Organization, Grief and Team Self-Care
65. · 16.1 · Organizational models of palliative care
66. · 16.2 · The interdisciplinary team in CP
67. · 16.3 · Grief: support and pathology
68. · 16.4 · Risk factors for complicated grief
69. · 16.5 · Professional self-care: compassion fatigue and burnout syndrome
70. · 16.6 · Essential principles for the CP clinician